Clients typically seek sessions with me when they realize they are unfulfilled in their lives or in their relationships and feel motivated to live more intentionally. Whether you experience the difficulty as stress, uncertainty, or physical discomfort, we can work in collaboration to identify attainable goals on a path toward a more fulfilling and expansive life. Our sessions can be designed to guide you in finding clarity and connection with your authentic self, while developing mindfulness-based skills to address anxiety or self-critical thinking that may arise through your process of transformation.
Clients who are seeking guidance specifically with issues regarding emotional and sexual intimacy can find sessions to be a safe place to discuss the challenges and impact on their lives. If you feel disconnected from yourself as a sexual person, find sex to be a complicated issue, or have difficulty experiencing pleasure, you may reduce your stress and find more joy through exploring the meanings of sexuality and developing a healthy self-concept as a component of regaining sexual desire. I can help you recognize the aspects of your life that may contribute to disconnection, assist you in learning more about your own sexuality, and embrace pleasure with yourself and with partners through enhancement of your sexual experiences. If you are currently in a romantic or sexual relationship, psychotherapy can involve inviting your partner to a session to help you both be invested in improving your sexual intimacy. I follow the language of my clients to provide the most safety I can in discussing sexuality, as this is a difficult topic for many people.
Individuals who experience chronic pelvic pain or pain during sex need to work with a treatment team to address the related health issues. If you experience pelvic pain and have not yet found a gynecologist, pelvic floor physical therapist, or dermatologist who specializes in treating these issues, please ask me for referrals. My role on your team of providers is to help you work with pain, manage stress and anxiety, maintain a sense of hope, develop self-compassion, and stay connected to your courage and resilience. I can also work with you to identify and work through the areas of your life that may be impacted as you have been living with chronic pain, such as self-image, quality of life, and dynamics in your intimate relationship.
Therapy addressing sexual issues never involves physical touch and is not sexual surrogacy. Additionally, I do not specialize in working with sexual compulsion issues, though individuals are welcome to contact me to ask for referrals.
When I work with couples to address sexual intimacy issues, I begin with exploring the importance of emotional intimacy as a foundation of having a meaningful sexually intimate relationship. Couples counseling can be an avenue to connect with your partner in a new way; a place to learn more about each other's perspectives and to discover different ways to communicate your needs and hopes. These sessions can offer you a safe space in which to acknowledge your part of the challenging dynamics and take responsibility for improving the quality of your intimate relationship. When both people in the relationship are invested in change, your intimate relationship can grow immensely.
Group sessions are small gatherings of 4 to 8 women.
Engage with Passion: Rediscovering Pleasure | Thursdays 5:30-7:00 pm
Members of this group are women who have been working with a gynecologist and a pelvic floor physical therapist to treat medical causes of dyspareunia. Due to the sensitivity of this topic, my primary focus is on the comfort of each person in the group. Members will be invited to share their challenges with pain and anxiety only to the extent they wish. I will offer guidance in coping with chronic pelvic pain and in maintaining emotional intimacy in your relationship, as well as processing the challenges in intimate relationships when sexual intimacy is associated with discomfort, fear, and avoidance.
Engage with Passion: Intimacy and Ecstasy
Members of this group are women who rarely experience sexual desire and want to become more emotionally and sexually connected to themselves and a current or future partner. Sessions will include education about women's sexuality, processing among members about similar challenges, becoming more accepting of one's body, developing more presence and awareness of emotional and physical experiences, and learning to create desire for oneself.
Teletherapy - videoconferencing and telephone sessions
I offer remote therapy sessions to serve clients in New Hampshire and North Carolina who are not able to come to my office. When clients are located too far away to drive to Portsmouth, all of our sessions would be remote. Teletherapy may also be helpful to local clients on occasion when they are unable to find childcare to come in for their scheduled session or when inclement weather causes driving to be unsafe.
Remote sessions should provide the same confidentiality, privacy, and security as sessions in my office. For this reason, videoconference sessions use a HIPAA-compliant service designed for therapists and physicians. If we are planning to meet for a remote session, I will ask you to read the informed consent policy for teletherapy and sign this document via the client portal before our session. Please also read the guidelines and system requirements you will need to meet for us to have a secure, private, and confidential session.
Consultation & Training
I offer continuing education for physicians, medical staff, and psychotherapists regarding work with lesbian, gay, bisexual, and transgender clients / patients. You can view a list of recent CMEs / CEs. I also offer consultation to medical offices and psychotherapy practices to enhance clinicians' work with clients / patients regarding sexual issues.
My rate for consultation services is $165 per hour. I provide in-office trainings beginning at $200 per hour, depending on the needs of the office. Rates for speaking engagements, including continuing education programming, vary depending on the needs of the program.